Catholic Health Initiatives Colorado
Organization Active NPI Family Medicine Physician · Evergreen, CO
NPI 1467064964 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1467064964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 32214 Ellingwood TRL Ste 210
Evergreen, CO 80439-9719 - Phone
- (303) 679-2020
- Fax
- (303) 670-2160
- NPI assigned
- Aug 18, 2020
- Organization subpart
- No
Authorized official
- Name
- Mrs. Angela Jo Skinner
- Title
- Administrator Oma
- Phone
- (720) 667-7283
Practitioners 4
-
Tarrah Lynn Bobay Cooper, CRNA
-
Vinh Nguyen, CRNA
-
Sophie Claire Feller, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000462 | CO | Part B Supplier - Clinic/Group Practice | 8022927342 |
Receives reassigned benefits from 1,310 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
32214 Ellingwood TRL Ste 210
Evergreen, CO 80439-9719
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names
- EVGN PRIMARY CARE
- CMG Primary Care Evergreen
Other providers in Evergreen, CO
- Nicholaus Leo Carmody
- Rachel Carroll
- James Bryan Carter
- Catholic Charities and Community Services of the Archdiocese of Denver
- Catholic Health Initiatives Colorado
- Center Group Holdings LLC
- Jill Chamberlin
- Erika Chamblin
- Jeni Ami Chang
- Jamie J Chapin
All providers in Evergreen, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.